HPC-OBA = Official Website =

ONLINE REGISTRATION

STEP 1:
Fill in details below

Prefix:

First Name: *

Last Name: *

E-mail Address: *

Phone Number: *

Street Address: *

Address Line 2:

City: *

Postal Code: *

Country: *

Old Boys / Present or Former Staff Members to fill in only;

Old Boys to fill in only; Please Tick Your House:

Tawhirimatea
Rongomatane
Tangaroa
Whiro

PLEASE SELECT BELOW YOUR CHOICE OF MEMBERSHIP AND PAYMENT OPTION:

SILVER

$500 one off payment
$2 weekly
$4 fortnightly

Other Payment option enter $ amount Here

PAYMENT OPTION: Silver

GOLD

$1,500 one off payment
$2 weekly
$4 fortnightly

Other Payment option enter $ amount Here

PAYMENT OPTION: Gold

Verification Code: Visual Verification Image

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* Required